Individual
DR. KENNETH LAGRATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7161 HOLABIRD AVE, BALTIMORE, MD 21222-1728
(410) 285-6023
(410) 282-8339
Mailing address
7161 HOLABIRD AVE, BALTIMORE, MD 21222-1728
(410) 285-6023
(410) 282-8339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6955
MD
Other
Enumeration date
12/08/2007
Last updated
12/08/2007
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